Term 1 CAE Flashcards
Strengths and limitations of the MOHO
Strengths: Client-centered, Occupation focused, Widely supported, Evidence based
Weaknesses: complicated, difficult to implement, time consuming
Sections of MOHO : Person
Person
Volition: Values Interests Personal causation
Habituation: Habits, Roles
Performance capacity: Experiences, physical abilities, mental capacity
Sections of MOHO: Environment
Political, cultural, social, economic,physical
Dimensions of Doing
Occupational Performance: Performings aspects of occupation
Occupational Participation: Occupational engagement
Occupational skills: motor, processing,etc
Consequences of doing (MOHO)
Occupational Identity
Occupational Competence- meeting personal expectations
Occupational Adaptations: Adapting occupation to overcome challenges
When is MOHO most used?
Mental health
What is Moho used for?
To assess the motivations for occupation
Is MOHO a model of practice or is it conceptual?
It is conceptual assesses how/ why we engage in occupations
Assumptions of the MOHO?
Human behaviour is a result of interactions between inherent human elements and environmental influences
CMCE
Canadian model of Client Engagement Adapt Advocate Coach Coordinate Collaborate Consult Design/Build Educate Engage Specialize This model is for the OT and does not have the client at the middle
Allows for reflection as to what went wrong and critical thinking regarding the enablement of our clients
What are the 8 principles of the CMCE
Interwoven Dynamic Collaborative Personal Invisible Evidence based Educational constant
What are the strengths and limitations of the CMCE?
Strengths: Stimulates reflection, can be used by other health care workers, strong foundation in OT values, recognized blame may not be placed on individual therapists but on the institutions/context
Limitations: Not widely used, not critically reviews, difficult to remember, doesnt account for interdependece of skills
No guarantee that you will succeed with enablement if you do these 8 things
What are the assumptions the CMCE makes?
That the client knows what they want out of the therapy session
What is enablement?
Powersharing and giving others the ability to participate and make choices in their own lives.
Coach, collaborating, powersharing, educating etc
What are the foundations of enablement?
Choice/risk/responsibility Client participation Visions of possibility Change Justice Power Sharing
Appeciative narrative inquiry vs transformative narrative inquiry
Appreciative: appreciating and focusing on the desired outcome - strengths based approach
Transformative: Enables a complete and lasting change of action
EHP- Ecology of Human Performance
This model focuses on the context individuals are placed in
Person: Has a unique set of experiences, values and interests
Context: Environment- physical, social, cultural
Temporal- chronological, developmental, life cycle, health status
Task: Individual skills and abilities, objective sets of behaviours
Performance: Cannot be understood outside of context
What are the outcomes of EHP?
Establish/Restore Alter ( match client with context) Adapt/Modify (change environment) Prevent Create
What does EHP not assume?
That disability is present
What are the strengths and weaknesses of EHP?
Strengths: Clients-centered, uses generic terms, provides intervention
Limitations: Not widely used , difficult to emasure context, not researched, focus on altering context can be difficult, lack of guidelines
What does EHP assume?
Assumes environement and PEO elements are always interacting
Environment inhibits or facilitates occupational performance
CMOP-E
A conceptual model for thinking
Spirituality at centre followed by person, occupation then environment
Spirituality
sense of meaning or purpos, conectedness with people and environments
Essence of self
Needs to be defined by client
Strengths and limitations of CMOP E
Strengths: person focused, concepts are generic, related assessment, emphasizes importance of elements that make up the environment
Limitations: Categorization can be limiting, spirituality is confusing, not strengths based, lacks depth, not much research
types of spirituality
Sacred: Higher power but not religion
Religious: Religion or faith
Secular: power, will and strength found in individuals
What are the principles of Health promotion?
Community Participation and Autonomy Empowerment Social Justice Collaboration + coordination Continuous Process Respect for Diversity
What is Health?
A tool that allows us to participate - an asset to life but not the reason for living
Based on a persons resilience and capacity to cope
What is wellbeing
Harmony in ones life
interdependent with health , dynamic and always changing
What is the medical approach to health
Health is an individual problem
High risk individuals
Drugs, medications surgeries is intervention
tertiary preventative level
What is the Behavioural approach to health?
Individualized, ability to function properly
high risk groups
health education and social marketing is intervention
secondary and primary preventative level
What is the socio environmental approach to health?
Health is a positive state- ability to do things tha hold meaning
high risk environments
Intervention: personal empowerment and political action for income, food security etc
Primary preventative level
How does the ICF relate to occupation?
ICF states that restricted participation and activity limitations with body structuree and impairment can lead to a health condition or disability
Do-Live-Well
Emphasizes the range of acitivties one should participate in
Dimension of experience
prompts individual reflection re activity patterns
Advocacy+ communication tool
What is the purpose of reflective practice
Facilitates self-awareness
Accountability for actions
Develops critical thinking
allows us to monitor our growth and competency
What is clinical reasoning?
THE ART OF DECISION MAKING
ongoing process
Asking yourself why
reflecting helps with clinical reasoning
reasoning should be client centered and use occupation as a means to an end
What is the three track mind of OT?
Procedural Reasoning - what I need to do for the visit ie assessments etc
Interactive Reasoning - Clients story
Conditional Reasoning- You+ client- a combination of the other two, revising needs to make sure clients needs are met but you are doing your job
What is scientific reasoning?
Logical+ sequential reponse- usually based on diagnosis
What is Pragmatic Reasoning
Constraints of system, pracical issues influencing practice
Ethical/Moral reasoning
what should be done?
Complex decisions through a systematic approach
What are the Filing cabinet drawers?
Socio-cultural Physical Cognitive Nuerological Cultural Environmental Psychological -emotional
What is the toolbox separated into?
Conceptual models - ways of thinking
Practice Models- Ways of doing
What are the five telescope lenses?
OPI's Developmental Perspective Cause of OPI Assessment. Intervention Outcome
Ethical reaosning allows us to balance____
benefits and risks
allows us to provide therapy in a morally defensible way
What are our duties as OT’s/ our clients rights?
Quality Evidence based care
Informed decision making
Confidentiality
COTO guides us by saying we should practice with
Trust: confidentiality, veracity (telling the truth(, fidelity (keeping promises), privacy
Respect: Collaboration, evidence based, justice, beneficence, autonomy (patients have the right to make their own deicisons)
Name the three types of justice
Distributive justice: health care should be distrubuted fairly
Procedural Justice: Ordering and arranging processes in a fair way
Compensatory Justice: Provision of resources to someone who has been wronged or injured
